Mednet Logo

What role does radiation plan in a pT1a endometrial cancer with two small metastatic foci in the abdomen found during surgery?

How would you manage a FIGO IA G3 endometrial cancer with no LVSI, lymph nodes not sampled but CT a/p negative for lymphadenopathy, yet 2 foci of cancer in the omentum/bowel mesentery? Would you offer radiation after treatment with systemic therapy?
Community PollStarted

How would you treat a FIGO IA gr 3 endometrial cancer with no high risk features but 2 foci of metastatic disease?

91 physicians have voted

Join Mednetto vote and see how they answered.

3 Answers
Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

I see the limited value of prophylactic RT here and favor systemic treatment only.

Join for free or sign in to see the full answer

Mednet Member
Mednet Member
Radiation Oncology · Vanderbilt-Ingram Cancer Center
Answered on · Updated on

I initially had a response and then realized I misread the question.

For small bowel/mesenteric nodules that are resected and confirmed to be metastatic disease, there is no role of adjuvant radiation. Similarly, for the question above, SBRT is not relevant as the nodules have been resected.

Join for free or sign in to see the full answer

Mednet Member
Mednet Member
Radiation Oncology · Sunnybrook Health Sciences Centre
Answered on

I would not offer adjuvant radiotherapy to a patient with mesenteric nodules found during the surgery.

If the nodules were resected, there is no role for adjuvant SBRT. Even if they were not resected, I would reserve any SBRT or EBRT after the patient has been treated with systemic therapy. We are ...

Join for free or sign in to see the full answer